| NPI | 1346860079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DINGLASAN President 770-895-8483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |